Online Program

Racial/ethnic disparities in prostate cancer stage of diagnosis in Florida

Monday, November 4, 2013 : 10:46 a.m. - 11:00 a.m.

Donald Parris, PhD, CCRC, Center for Research and Grants, Baptist Health South Florida, Coral Gables, FL
Noella A. Dietz, PhD, Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL
Edward Trapido, Sc.D, F.A.C.E., Epidemiology Program, Louisiana State University Health Sciences Center, School of Public Health, New Orleans, LA
David J. Lee, PhD, Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL
Tulay Koru-Sengul, MHS, PhD, Department of Public Health Sciences, Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, Miami, FL
Background: Few studies have examined racial/ethnic differences in prostate cancer (PC) stage of diagnosis controlling for sociodemographic variables. The objective of this study was to determine if an association exists between race/ethnicity and PC stage of diagnosis after adjusting for age, education level, marital, smoking and insurance status, SES and urban/rural residence. Methods: The Florida Cancer Data System was used to obtain data from men (n=99,912) diagnosed with PC between the years 2001 and 2009 of which 74% were non-Hispanic White (White), 13% non-Hispanic Black (Black), 12% Hispanic and 1% non-Hispanic Other (Other). Most men had localized (90%) PC at diagnosis compared to those with advanced (regional/distant) stage (10%). Univariate and multivariate logistic regression models were fitted to stage of PC presentation (localized vs. advanced) with race/ethnicity as the main predictor but further adjusted for sociodemographic factors. Results: Black men were more likely to present with advanced disease than White men (OR 1.38; 95% CI 1.36 – 1.46). After adjusting for sociodemographic factors, this association remained (OR 1.16; 95% CI 1.09 – 1.23). Hispanics and men of Other race/ethnicity showed no statistically significant difference in PC stage presentation compared to Whites. Conclusions: Disparities in PC stage of diagnosis exist in a racial/ethnically diverse state like Florida; Black men were 38% more likely than White men to present with advanced PC disease. This likelihood was reduced by 16% after adjusting for sociodemographic factors. These results confirm the need for additional research to elucidate the causes for PC disparities among Black men.

Learning Areas:

Diversity and culture

Learning Objectives:
Identify sociodemographic factors associated with late stage prostate cancer diagnosis.

Keyword(s): Cancer

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have over 14 years of experience conducting health related research in various settings with diverse populations. The desire to use and combine data in innovative ways to improve health related outcomes has been the driving force throughout my training and professional career. My research interests include outcomes research and disparities research.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.